Imaging prices at Outer Banks Health Hospital
Nags Head, NC · every code in this section with a posted price and a Medicare benchmark.
340 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $7,259.28 | $12,963 | 5.5× |
| Abdomen 1 View (74018) | $324.24 | $579 | 3.9× |
| Abdomen 2 views (74019) | $327.04 | $584 | 3.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $237.44 | $424 | 0.6× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$347.76–$604.80 | $621–$1,080 | varies |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$388.08–$776.16 | $693–$1,386 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$756–$1,511.44 | $1,350–$2,699 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$644–$1,287.44 | $1,150–$2,299 | varies |
| Basic radiation dosimetry calculation (77300) | $788.48 | $1,408 | 6.1× |
| Bone age studies (77072) | $278.32 | $497 | 2.8× |
| Bone Imaging 3 Phase (78315) | $1,134 | $2,025 | 3.0× |
| Bone Imaging Limited Area (78300) | $414.96 | $741 | 1.1× |
| Bone Imaging Multiple Areas (78305) | $440.16 | $786 | 1.2× |
| Bone Imaging Whole Body (78306) | $997.36 | $1,781 | 2.6× |
| Bone survey infant (77076) | $180.88 | $323 | 1.8× |
| Brachytx isodose complex (77318) | $894.32 | $1,597 | 2.5× |
| Brachytx isodose intermed (77317) | $809.20 | $1,445 | 2.3× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,429.28 | $4,338 | 1.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $4,623.92 | $8,257 | 13.9× |
| Cat Scan Follow-Up Study (76380) | $497.84 | $889 | 6.0× |
| Chest 1 view (71045) | $204.40 | $365 | 2.5× |
| Chest 2 views (71046) | $395.36 | $706 | 4.8× |
| Chest 3 views (71047) | $399.84 | $714 | 4.8× |
| Chest 4 or more views (71048) | $412.72 | $737 | 4.1× |
| Cholecystography Oral Contrast (74290) | $253.68 | $453 | 1.5× |
| Cisternography Positive Contrast Rs&I (70015) | $290.64 | $519 | 0.4× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$422.80–$633.92 | $755–$1,132 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $690.48 | $1,233 | 6.9× |
| Continuing medical physics consltj pr wk (77336) | $126.56 | $226 | 1.0× |
| Contrast X-Ray Bladder (74430) | $521.36 | $931 | 1.6× |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$801.36–$1,602.72 | $1,431–$2,862 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$801.36–$1,602.72 | $1,431–$2,862 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $164.08 | $293 | 1.0× |
| Corpora cavernosography (74445) | $380.24 | $679 | 3.8× |
| CT abdomen and pelvis without and with contrast (74178) | $5,866.56 | $10,476 | 17.6× |
| CT abdomen and pelvis without contrast (74176) | $4,512.48 | $8,058 | 19.8× |
| CT abdomen w contrast (74160) | $3,053.68 | $5,453 | 18.2× |
| CT abdomen w wo contrast (74170) | $3,539.20 | $6,320 | 21.1× |
| CT abdomen w/o contrast (74150) | $2,694.16 | $4,811 | 27.0× |
| CT Angio Abdomen and Pelvis (74174) | $4,851.28 | $8,663 | 14.5× |
| CT Angio Chest (71275) | $2,491.44 | $4,449 | 14.9× |
| CT Angio Head (70496) | $1,659.28 | $2,963 | 9.9× |
| CT angio hrt w/3d image (75574) range across 4 matching MRF lines |
$3,148.32–$4,669.28 | $5,622–$8,338 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$2,464–$4,151.28 | $4,400–$7,413 | varies |
| CT Angio Neck (70498) | $2,943.92 | $5,257 | 17.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$2,464–$4,151.28 | $4,400–$7,413 | varies |
| CT bone density (77078) | $529.76 | $946 | 6.4× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $271.04 | $484 | 1.6× |
| CT cervical spine w/ contrast (72126) | $1,677.76 | $2,996 | 5.0× |
| CT cervical spine w/o contrast (72125) | $1,432.48 | $2,558 | 14.3× |
| CT cervical spine w/wo cont (72127) | $2,455.04 | $4,384 | 14.6× |
| CT chest w contrast (71260) | $2,250.08 | $4,018 | 13.4× |
| CT chest w/wo contrast (71270) | $2,409.12 | $4,302 | 14.4× |
| CT colonography screening (74263) | $1,581.44 | $2,824 | 6.9× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $1,505.84 | $2,689 | 15.1× |
| CT head/brain with contrast (70460) | $1,062.32 | $1,897 | 6.3× |
| CT head/brain without and with contrast (70470) | $2,614.64 | $4,669 | 15.6× |
| CT heart contrast eval cardiac structure&morph (75572) | $2,546.32 | $4,547 | 7.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $785.68 | $1,403 | 9.4× |
| CT hrt w/3d image congen (75573) | $2,161.04 | $3,859 | 6.5× |
| CT iac w contrast (70481) | $1,999.20 | $3,570 | 11.9× |
| CT l-spine w&w/o contrast (72133) | $1,696.80 | $3,030 | 10.1× |
| CT lower ext w/o (73700) range across 21 matching MRF lines |
$932.96–$1,865.92 | $1,666–$3,332 | varies |
| CT lower extremity w/contrast material (73701) range across 21 matching MRF lines |
$949.20–$1,901.20 | $1,695–$3,395 | varies |
| CT lumbar spine w contrast (72132) | $1,591.52 | $2,842 | 4.8× |
| CT lumbar spine w/o contrast (72131) | $1,304.80 | $2,330 | 13.1× |
| CT maxillofacial w contrast (70487) | $2,057.44 | $3,674 | 12.3× |
| CT maxillofacial wo contrast (70486) | $1,900.08 | $3,393 | 19.0× |
| CT neck tissue combo (70492) | $2,656.08 | $4,743 | 15.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 4 matching MRF lines |
$2,134.16–$2,192.40 | $3,811–$3,915 | varies |
| CT orbits w/o contrast (70480) | $1,996.40 | $3,565 | 20.0× |
| CT pelvis w&w/o contrast (72194) | $2,305.52 | $4,117 | 13.8× |
| CT pelvis w/o contrast (72192) | $1,889.44 | $3,374 | 18.9× |
| CT scan of leg combo (73702) range across 21 matching MRF lines |
$1,470.56–$2,940.56 | $2,626–$5,251 | varies |
| CT scans face/jaw combo (70488) | $2,152.64 | $3,844 | 12.8× |
| CT soft tissue neck w contrast (70491) | $2,473.52 | $4,417 | 14.8× |
| CT soft tissue neck w/o contrast (70490) | $2,345.28 | $4,188 | 23.5× |
| CT thoracic spine w contrast (72129) | $1,933.68 | $3,453 | 11.5× |
| CT thoracic spine w/o contrast (72128) | $1,782.48 | $3,183 | 17.8× |
| CT thoracic spine w/wo cont (72130) | $2,139.20 | $3,820 | 12.8× |
| CT thorax w/o contrast (71250) | $1,793.12 | $3,202 | 17.9× |
| CT upper ext wo (73200) range across 21 matching MRF lines |
$1,037.12–$2,064.16 | $1,852–$3,686 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 21 matching MRF lines |
$1,360.24–$2,719.92 | $2,429–$4,857 | varies |
| CT upper extremity with contrast (73201) range across 21 matching MRF lines |
$1,057.84–$2,115.12 | $1,889–$3,777 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $933.52 | $1,667 | 5.6× |
| Cta Abdomen (74175) | $1,663.20 | $2,970 | 9.9× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $621.04 | $1,109 | 1.9× |
| CTA pelvis (72191) | $1,134.56 | $2,026 | 6.8× |
| Dilation ureters/urethra rs&i (74485) | $395.92 | $707 | 0.2× |
| Discography Cerv/Thor Spine (72285) | $622.16 | $1,111 | 0.3× |
| Diskography lumbar (72295) | $622.16 | $1,111 | 0.3× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $266.56 | $476 | 2.7× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $363.44 | $649 | 3.6× |
| Dxa Bone Density Axial (77080) | $545.44 | $974 | 5.5× |
| Dxa bone density study (77085) | $244.72 | $437 | 2.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $221.76 | $396 | 2.7× |
| Echo exam of fetal heart (76825) | $484.40 | $865 | 0.9× |
| Echo Guide For Artery Repair (76936) | $241.36 | $431 | 1.2× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $315.28 | $563 | 1.4× |
| Esophagram (74220) | $210 | $375 | 1.3× |
| Fetal Biophys Profile W/Nst (76818) | $435.68 | $778 | 4.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $178.64 | $319 | 1.8× |
| Fluoroscopy up to 1 hr (76000) | $739.20 | $1,320 | 3.2× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$454.16–$483.84 | $811–$864 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$118.72–$790.72 | $212–$1,412 | varies |
| Gastric emptying imaging study (78264) | $493.36 | $881 | 1.3× |
| Gastroesophageal Reflux Exam (78262) | $397.60 | $710 | 1.0× |
| Gated Heart Planar Single (78472) | $336.56 | $601 | 0.9× |
| GI Endoscopic US S&I (76975) | $514.64 | $919 | 2.3× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$321.44–$638.96 | $574–$1,141 | varies |
| Heart first pass single,planar (78481) | $348.88 | $623 | 0.7× |
| Hepatobil Syst Image W/Drug (78227) | $2,761.36 | $4,931 | 5.3× |
| Hepatobiliary System Imaging (78226) | $338.24 | $604 | 0.9× |
| Hysterosalpingogram (74740) | $1,053.92 | $1,882 | 4.6× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $448.56 | $801 | 5.4× |
| Infusion Ivp (74410) | $373.52 | $667 | 2.2× |
| K Flow/Funct Image W/Drug (78708) | $2,256.24 | $4,029 | 4.3× |
| K Flow/Funct Image W/O Drug (78707) | $522.48 | $933 | 1.0× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$356.16–$533.68 | $636–$953 | varies |
| Liver & Spleen Imaging Static Only (78215) | $448.56 | $801 | 1.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $481.60 | $860 | 1.3× |
| Lung Perf&Ventilat Diferentl (78598) | $243.04 | $434 | 0.5× |
| Lung Ventilat&Perfus Imaging (78582) | $525.84 | $939 | 1.0× |
| Lymph System Imaging (78195) | $560 | $1,000 | 1.1× |
| Magnetic Image Jaw Joint (70336) | $1,710.24 | $3,054 | 7.5× |
| Mammary ductogram or galactogram multiple (77054) range across 3 matching MRF lines |
$269.92–$539.28 | $482–$963 | varies |
| Mammary ductogram or galactogram single (77053) range across 3 matching MRF lines |
$240.80–$481.04 | $430–$859 | varies |
| Meckels Divert Exam (78290) | $388.08 | $693 | 1.0× |
| Mlc imrt design & construction per imrt plan (77338) | $841.68 | $1,503 | 2.4× |
| Mr safety determination physician/other qhp (76016) | $133.28 | $238 | 1.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $34.72 | $62 | 1.3× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $138.88 | $248 | 1.5× |
| Mr safety implt pos&/immoblj (76019) | $90.16 | $161 | 1.6× |
| Mr safety med physics xm customization plng&mntr (76017) | $339.92 | $607 | 1.5× |
| Mra Head W/O & W/Contrast Material (70546) | $3,172.96 | $5,666 | 9.5× |
| MRA head w/o contrast (70544) | $2,618.56 | $4,676 | 11.5× |
| MRA head with contrast (70545) | $2,687.44 | $4,799 | 8.1× |
| MRA neck w contrast (70548) | $3,631.60 | $6,485 | 10.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,747.52 | $6,692 | 11.2× |
| MRA neck w/o contrast (70547) | $3,053.12 | $5,452 | 13.4× |
| MRI abdomen w contrast (74182) | $3,137.12 | $5,602 | 9.4× |
| MRI abdomen w/o contrast (74181) | $2,335.76 | $4,171 | 10.2× |
| MRI any jt lower extrem w/contrast material (73722) range across 12 matching MRF lines |
$4,989.60–$5,896.80 | $8,910–$10,530 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 12 matching MRF lines |
$6,199.20–$6,537.44 | $11,070–$11,674 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 12 matching MRF lines |
$4,435.76–$5,670 | $7,921–$10,125 | varies |
| MRI bone marrow blood supply (77084) | $1,515.92 | $2,707 | 6.6× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,735.60 | $4,885 | 12.0× |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,690.24 | $4,804 | 11.8× |
| MRI cardiac w/o contrast (75557) | $4,403.28 | $7,863 | 19.3× |
| MRI cervical spine w contrast (72142) | $3,463.04 | $6,184 | 10.4× |
| MRI cervical spine w/o cont (72141) | $3,417.68 | $6,103 | 15.0× |
| MRI chest w/o contrast (71550) | $2,752.40 | $4,915 | 12.1× |
| MRI chest with contrast (71551) | $2,898 | $5,175 | 3.9× |
| MRI chest wo w contrast (71552) | $3,670.24 | $6,554 | 11.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 9 matching MRF lines |
$3,116.96–$6,233.36 | $5,566–$11,131 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 9 matching MRF lines |
$3,722.32–$7,461.44 | $6,647–$13,324 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 9 matching MRF lines |
$1,778.56–$3,931.20 | $3,176–$7,020 | varies |
| MRI lumbar spine w contrast (72149) | $2,486.40 | $4,440 | 7.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,544.24 | $6,329 | 10.6× |
| MRI orbit face &/neck w/o contrast (70540) | $1,566.32 | $2,797 | 6.9× |
| MRI orbit face neck w contrast (70542) | $1,737.12 | $3,102 | 5.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,956.64 | $3,494 | 5.9× |
| MRI pelvis w contrast (72196) | $2,906.40 | $5,190 | 8.7× |
| MRI pelvis w/o & w contrast (72197) | $4,063.36 | $7,256 | 12.2× |
| MRI pelvis w/o contrast (72195) | $2,271.36 | $4,056 | 10.0× |
| MRI thoracic spine w/o contrast (72146) | $2,576.56 | $4,601 | 11.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 15 matching MRF lines |
$4,384.80–$4,536 | $7,830–$8,100 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 15 matching MRF lines |
$1,247.68–$4,108.72 | $2,228–$7,337 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 15 matching MRF lines |
$4,687.20–$6,426 | $8,370–$11,475 | varies |
| MRI, abdomen, combo (74183) | $4,037.04 | $7,209 | 12.1× |
| MRI, dorsal spine combo (72157) | $3,957.52 | $7,067 | 11.9× |
| MRI, dorsal spine contrast (72147) | $2,642.64 | $4,719 | 7.9× |
| MRI, joint upper extrem (73221) range across 12 matching MRF lines |
$2,457.28–$4,158 | $4,388–$7,425 | varies |
| MRI, joint upper extrem combo (73223) range across 12 matching MRF lines |
$6,048–$7,672 | $10,800–$13,700 | varies |
| MRI, lumbar spine combo (72158) | $2,714.32 | $4,847 | 8.1× |
| Myocardial Spect Multiple Studies (78452) | $720.16 | $1,286 | 0.6× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $5,103.84 | $9,114 | 2.4× |
| Neck soft tissue (70360) | $280 | $500 | 3.4× |
| Nm myocard infarct spect (78469) | $365.12 | $652 | 0.7× |
| Ntsty modul radthx pln dose-vol histos (77301) | $1,109.92 | $1,982 | 0.8× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) | $224 | $400 | 2.2× |
| Optic foramina (70190) | $127.12 | $227 | 1.5× |
| Panoramic X-ray of jaws (70355) | $64.40 | $115 | 0.8× |
| Parathyroid Planar Imaging (78070) | $675.36 | $1,206 | 1.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,157.52 | $2,067 | 3.0× |
| Pelvis 1 or 2 views (72170) | $328.72 | $587 | 3.3× |
| Perineogram (74775) | $253.68 | $453 | 1.1× |
| PET image w/CT, full body (78816) | $2,638.16 | $4,711 | 1.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $1,515.36 | $2,706 | 1.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $397.60 | $710 | 1.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $593.60 | $1,060 | 5.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $488.88 | $873 | 0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$491.68–$764.40 | $878–$1,365 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$398.72–$796.88 | $712–$1,423 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$467.60–$831.60 | $835–$1,485 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $252.56 | $451 | 2.5× |
| Radex fingr minimum 2 views (73140) range across 20 matching MRF lines |
$219.52–$229.60 | $392–$410 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$529.20–$697.76 | $945–$1,246 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$388.08–$646.80 | $693–$1,155 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$96.88–$193.76 | $173–$346 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $296.80 | $530 | 3.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$488.88–$601.44 | $873–$1,074 | varies |
| Radex Ribs Unilateral 2 Views (71100) | $439.60 | $785 | 5.3× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$420.56–$630.56 | $751–$1,126 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $376.88 | $673 | 4.5× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $630.56 | $1,126 | 3.8× |
| Radex Spine 1 View Specify Level (72020) | $240.24 | $429 | 2.9× |
| Radex Sternum Minimum 2 Views (71120) | $155.68 | $278 | 1.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $370.16 | $661 | 4.5× |
| Radex Toe Minimum 2 Views (73660) range across 13 matching MRF lines |
$271.04–$540.96 | $484–$966 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$138.88–$277.76 | $248–$496 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$427.84–$855.68 | $764–$1,528 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,081.92 | $1,932 | 10.8× |
| Radiation treatment delivery level 1 (77402) range across 3 matching MRF lines |
$117.04–$623.84 | $209–$1,114 | varies |
| Radiation treatment delivery level 2 (77407) range across 3 matching MRF lines |
$441.84–$642.88 | $789–$1,148 | varies |
| Radiation treatment delivery level 3 (77412) range across 4 matching MRF lines |
$607.60–$718.48 | $1,085–$1,283 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $250.88 | $448 | 2.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $357.84 | $639 | 3.6× |
| Radiologic exam colon double contrast study (74280) | $1,098.16 | $1,961 | 6.6× |
| Radiologic exam colon single contrast study (74270) | $442.96 | $791 | 2.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $214.48 | $383 | 1.3× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$364.56–$547.12 | $651–$977 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $459.76 | $821 | 4.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $553.28 | $988 | 3.3× |
| Radiologic exam swallow function contrast study (74230) | $579.60 | $1,035 | 3.5× |
| Radiologic exam teeth complete full mouth (70320) | $105.28 | $188 | 0.5× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $96.88 | $173 | 0.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $745.92 | $1,332 | 4.4× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$53.20–$376.88 | $95–$673 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$372.40–$559.44 | $665–$999 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$268.24–$402.08 | $479–$718 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $206.64 | $369 | 2.1× |
| Radiologic Examination Salivary Gland Calculus (70380) | $120.96 | $216 | 1.5× |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$255.36–$547.12 | $456–$977 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $129.36 | $231 | 0.2× |
| Radiologic examination, teeth; single view Non-Facility (70300) | $85.68 | $153 | 1.0× |
| Renal Cyst Study (74470) | $506.24 | $904 | 1.0× |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$453.60–$518.56 | $810–$926 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,512 | $2,700 | 2.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,259.44 | $2,249 | 2.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,016.40 | $1,815 | 2.0× |
| Scapula (73010) range across 3 matching MRF lines |
$217.84–$435.68 | $389–$778 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$70.56–$105.28 | $126–$188 | varies |
| Sella turcica (70240) | $127.12 | $227 | 1.5× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$314.16–$627.76 | $561–$1,121 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$392.56–$785.12 | $701–$1,402 | varies |
| Sialogram (70390) | $314.72 | $562 | 1.4× |
| Skull less than 4 views (70250) | $104.16 | $186 | 1.0× |
| Special dosimetry (77331) | $351.68 | $628 | 2.7× |
| Special Physics Consult (77370) | $519.12 | $927 | 4.0× |
| Special teletherapy port plan (77321) | $582.96 | $1,041 | 1.6× |
| Special treatment procedure (77470) | $514.64 | $919 | 1.0× |
| Speech evaluation, complex (70371) | $256.48 | $458 | 1.1× |
| Sternoclavicular joints (71130) | $506.80 | $905 | 6.1× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,082.48 | $1,933 | 3.0× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $556.08 | $993 | 1.6× |
| Temporomandble Jt Arthrography Rs&I (70332) range across 3 matching MRF lines |
$644–$1,287.44 | $1,150–$2,299 | varies |
| Testicular Imaging W/Flow (78761) | $466.48 | $833 | 1.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,728.88 | $4,873 | 7.6× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,113.84 | $1,989 | 3.1× |
| Ther rad simulaj-aided field setting simple (77280) | $735.84 | $1,314 | 5.7× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $913.92 | $1,632 | 5.5× |
| Thoracic spine 2 views (72070) | $477.12 | $852 | 4.8× |
| Thoracic spine 3 views (72072) | $497.84 | $889 | 5.0× |
| Thoracolumbar 2 views (72080) | $208.32 | $372 | 2.5× |
| Thyroid Imaging With Vascular Flow (78013) | $385.84 | $689 | 1.0× |
| Thyroid Uptake Measurement (78012) | $325.36 | $581 | 0.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $389.76 | $696 | 1.0× |
| Tx Devices Design & Construction Complex (77334) | $1,603.84 | $2,864 | 4.5× |
| Tx devices design & construction intermediate (77333) | $871.92 | $1,557 | 6.8× |
| Tx devices design & construction simple (77332) | $809.76 | $1,446 | 6.3× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$979.44–$2,319.52 | $1,749–$4,142 | varies |
| Ultrasound Exam Aaa Screen (76706) | $124.88 | $223 | 1.2× |
| Ultrasound, abdomen limited (76705) | $1,253.84 | $2,239 | 12.5× |
| Unlisted magnetic resonance procedure (76498) | $134.40 | $240 | 1.6× |
| Unlisted us procedure (76999) | $456.40 | $815 | 5.5× |
| Upper gi w/o kub (74240) | $740.32 | $1,322 | 4.4× |
| Urethrocystogram voiding (74455) | $583.52 | $1,042 | 2.6× |
| Urethrocystography retrograde (74450) | $527.52 | $942 | 2.3× |
| Us breast unilateral complete (76641) | $985.04 | $1,759 | 9.9× |
| Us chest (76604) | $726.88 | $1,298 | 7.3× |
| Us complete joint (76881) range across 3 matching MRF lines |
$114.24–$227.92 | $204–$407 | varies |
| Us exam, pelvic, limited (76857) | $618.80 | $1,105 | 6.2× |
| Us head (76506) | $73.36 | $131 | 0.7× |
| Us kidney transplant (76776) | $102.48 | $183 | 1.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$174.16–$260.96 | $311–$466 | varies |
| Us ob limited 1 or more fetuses (76815) | $680.40 | $1,215 | 6.8× |
| Us ob transvaginal (76817) | $1,934.24 | $3,454 | 19.4× |
| Us pelvic non ob complete (76856) | $2,419.76 | $4,321 | 24.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,864.24 | $3,329 | 18.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $374.64 | $669 | 3.7× |
| Us retroperitoneal complete (76770) | $337.12 | $602 | 3.4× |
| Us retroperitoneal limited (76775) | $465.36 | $831 | 4.7× |
| Us scrotum and contents (76870) | $1,162 | $2,075 | 11.6× |
| Us spinal canal and contents (76800) | $863.52 | $1,542 | 8.6× |
| Us thyroid (76536) | $1,089.76 | $1,946 | 10.9× |
| Venography extremity bilateral rs&i (75822) | $1,314.88 | $2,348 | 0.9× |
| Venography extremity unilateral rs&i (75820) | $656.88 | $1,173 | 0.4× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$220.08–$644 | $393–$1,150 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $77.84 | $139 | 0.9× |
| X-ray antegrade pyelogram tube (74425) | $585.76 | $1,046 | 1.8× |
| X-Ray Bend Only L-S Spine (72120) | $601.44 | $1,074 | 6.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$300.16–$780.64 | $536–$1,394 | varies |
| X-Ray Exam Breast Specimen (76098) | $707.84 | $1,264 | 1.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $334.32 | $597 | 4.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $650.16 | $1,161 | 6.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $868 | $1,550 | 8.7× |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$284.48–$476 | $508–$850 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $292.32 | $522 | 3.5× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $355.60 | $635 | 3.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $478.80 | $855 | 4.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $857.36 | $1,531 | 8.6× |
| X-Ray Exam L-S Spine Bending (72114) | $758.80 | $1,355 | 7.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $385.28 | $688 | 4.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $746.48 | $1,333 | 7.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $559.44 | $999 | 5.6× |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$87.92–$175.28 | $157–$313 | varies |
| X-ray humerus (73060) range across 6 matching MRF lines |
$165.20–$654.08 | $295–$1,168 | varies |
| X-ray IV pyelogram (ivp) (74400) | $915.04 | $1,634 | 5.5× |
| X-ray IV pyelogram+tomography (74415) | $455.28 | $813 | 2.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $112 | $200 | 1.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $233.52 | $417 | 2.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $496.16 | $886 | 5.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $563.92 | $1,007 | 5.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $479.36 | $856 | 4.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $331.52 | $592 | 3.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $380.80 | $680 | 4.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $911.12 | $1,627 | 11.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $120.40 | $215 | 1.2× |
| X-ray thoracic spine 4 vw (72074) | $964.32 | $1,722 | 9.6× |
| X-Ray Tmj Unilat (70328) | $185.36 | $331 | 2.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $969.92 | $1,732 | 2.9× |
| X-Rays Bone Length Studies (77073) | $145.04 | $259 | 1.5× |
| X-Rays Bone Survey Complete (77075) | $724.08 | $1,293 | 7.2× |
| Xr c-spine 4 or 5 views (72050) | $713.44 | $1,274 | 7.1× |
| Xr facial bones less than 3 views (70140) | $119.28 | $213 | 1.4× |
| XR Mastoids < 3 Views Bilateral (70120) | $55.44 | $99 | 0.6× |
| Xr myelogram posterior fossa (70010) | $632.80 | $1,130 | 1.9× |
| Xr orbits complete 4 views (70200) | $306.88 | $548 | 3.1× |
| Xr Tomogram Single Plane (76100) | $221.76 | $396 | 2.2× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.